Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2023-05-17-74
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214573 DEA: 073096U4 EFIS: 0719000091 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-210-R0.0/R9.7 |
| Award Date | 04/03/2020 |
| Closeout Date | 06/06/2024 |
| Work Description | PLACE CONCRETE PAVEMENT, BARRIER, HMA, DRAINAGE, AND ELECTRICAL. |
| Location Description | LOS ANGELES COUNTY IN LOS ANGELES FROM INTERSTATE 5 TO WHEATLAND AVENUE UNDERCROSSING |
| QA Service Level | 1 (Verified on 06/05/2020) |
Sample Information
| Sample Taken Date | 05/17/2023 | Sample Unique Key | 74 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 06/01/2023 | Sample type | Verification |
| A brief description of the sample | 1 Bag of Hi-Natural | The quantity of what the sample constitutes | 1 Bag of Hi-Natural Crumb Rubber |
| From where was the sample collected | Manufacturer | First name of sampler or witnessed by | Thomas |
| Last name of sampler or witnessed by | Shivens QC | Title of sampler | |
| Telephone number of sampler | Laboratory sample identification | 0286G-23 | |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Vulcan Materials Sun Valley | |
| Transportation Laboratory (TL) Number | Inspector Lot Number from the Transportation Laboratory (TL) Form | ||
| Structure unique identifier | Structure name | ||
| Bid Item | Not set |
Material Information
| Material Type | Crumb Rubber Modifier | CRM Type | High Natural |
|---|---|---|---|
| Crumb Rubber Modifier Mix Number | 326120 SVA3 LTR |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-05-17-74-1 CTM 208-September 2011 (Verified)
DIME Test ID: 2023-05-17-74-2 CTM 385-November 2016 (Verified)